Mary Beth Bottorf, APRN | |
3264 W Audubon Park Path, Lecanto, FL 34461-8450 | |
(352) 628-7671 | |
Not Available |
Full Name | Mary Beth Bottorf |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3264 W Audubon Park Path, Lecanto, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568151124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11023736 (Florida) | Primary |
Entity Name | Advanced Urology Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023447935 PECOS PAC ID: 2163653585 Enrollment ID: O20140328000990 |
Mailing Address | Practice Location Address |
---|---|
Mary Beth Bottorf, APRN 12109 County Road 103, Oxford, FL 34484-2951 Ph: (352) 205-8981 | Mary Beth Bottorf, APRN 3264 W Audubon Park Path, Lecanto, FL 34461-8450 Ph: (352) 628-7671 |
Sally E Mcdonald, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 521 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-746-0707 Fax: 352-746-6333 | |
Tiffany Eddins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 521 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-746-0707 Fax: 352-746-6333 | |
Ashton Mae Wester, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Jason Sirel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Nancy Hindalong, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 | |
Charles F. Brinegar Jr., ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 | |
Mrs. Ann Marie O'shall, APRN FNP BC-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 |